Individual
DR. JACLYN HESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
108 DORNACH WAY, ADVANCE, NC 27006-7305
(336) 940-2407
Mailing address
2341 KINGS WAY, AUGUSTA, GA 30904-4487
(336) 909-0222
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
2019-00260
NC
207N00000X
Dermatology Physician
8296
GA
390200000X
Student in an Organized Health Care Education/Training Program
210171
NC
390200000X
Student in an Organized Health Care Education/Training Program
8296
GA
Other
Enumeration date
04/13/2015
Last updated
02/27/2019
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